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Re: GENERAL: When is laparoscopy NOT an option

From: grateful mom (anonymous@obgyn.net)
Wed, 25 Apr 2007 14:58:29 -0500 (CDT)


IMHO - I think that laparoscopy is the BEST option at this point. I too had 2 sections, a TAH and two subsequent laps. The first lap they thought it would be a simple cystectomy on one ovary as Ultrasound showed an enlarged adnexa (Ovary) as it turns out I had extensive pelvic adhesions from my hysterectomy. The adhesions involved both ovaries, bowel and vaginal cuff. My GYN and a general surgeon worked via lap for 4 hours to take down the adhesions. The left ovary was left mostly covered by my colon. Two months later they did another laprascopic surgery to uncover my ovary and peel it from the side wall. I am now relatively pain free.

At the time of both surgeries the Drs told me that there was a good possibility they would have to do a laparotomy. They didn't! They just wanted to prepare me for the worst. If they do remove the ovary they can put it in an endo pouch and break it up in there it remove it via the small incisions. It is up to the individual surgeon.

Laproscopic surgery tends to lessen the formation of adhesions.

Good luck and hopefully no large incisions.

At Wed, 25 Apr 2007, Kris wrote: >
>I need surgery due to a large solid cyst on my enlarged right ovary.
>I've had a lot of pain for a while, so hopefully removing the cyst and
>any more endo that's found will cure that. My gyn has also mentioned
>the possibility of my ovary coming out if it "doesn't look good"; he
>thinks there are adhesions.
>
>My question is... does there come a point where laparoscopy isn't
>really a feasable option? I've had 2 scopes, 2 c-sections, and an
>abdominal hysterectomy. Does this mean that doing my surgery with the
>scope isn't the best way to do it? When I spoke with him last week, he
>said he'd likely start with the scope, but then switch to a laparotomy
>if the ovary did need to come out. Now, it sounds like he may be
>rethinking this plan.
>
>I was just curious if there is some sort of standard as to when a
>patient isn't a good candidate for a scope anymore.
>
>Thanks for any insight,
>Kris age 32






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